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PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS*

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PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS*
The Deposit Protection Service – Insured scheme
NOTE: The landlord must supply the tenant with the Prescribed Information regarding any tenancy deposit required to
be dealt with under the Insured tenancy deposit scheme.
To: (insert names of all tenants and any other (third party) paying a tenancy deposit on behalf of a tenant)
1. The name, address and contact details of the Scheme Administrator of the Tenancy Deposit Scheme that is
safeguarding your tenancy deposit is:
The Deposit Protection Service (The DPS)
The Pavilions
Bridgwater Road
Bristol
BS99 6AA
Telephone No. 0330 303 0030
Online: Enquiry Forms are available through the Virtual Customer Service Agent or the Frequently Asked Questions at
www.depositprotection.com
2. Information contained in a leafl et supplied by the Scheme Administrator to the Landlord explaining the operation
of the provisions contained in the statutory scheme.
See attached Terms and Conditions
3. Information on the procedures applying for the release of the deposit at the end of the tenancy.
See attached Terms and Conditions
4. Procedures that apply under the Scheme where either the Landlord or the Tenant is not contactable at the end
of the tenancy.
See attached Terms and Conditions
5. Procedures that apply under the Scheme where the Landlord and the Tenant dispute the amount to be repaid
to you in respect of the deposit.
See attached Terms and Conditions
6. The facilities available under the Scheme for enabling a dispute relating to the deposit to be resolved without
recourse to litigation.
There is an alternative Dispute Resolution Scheme available enabling an independent adjudicator to decide on any dispute.
See attached Terms and Conditions for further information
* In accordance with The Housing (Tenancy Deposits) (Prescribed Information) Order 2007.
Reset
7. Tenancy specifi c information
(a) Amount of deposit paid. (insert amount of deposit paid; in the case of a joint tenancy it should be the total amount paid)
£
(b) Address of property to which the tenancy relates. (insert address of property including post code)
(c) Name, address and details of landlord(s)
Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
(d) Name, address and contact details of the Tenant(s) (in the case of joint tenants insert this information for all tenants).
(1) Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
(2) Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
(3) Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
(4) Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
(5) Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Contact address
to be used by
The Landlord
at the end of
the tenancy:
Note: please see Note 3 below regarding the tenant’s or lead tenant’s responsibility to register their contact address with The
DPS and to ensure that their address is updated at the end of the tenancy.
(e) Name of Third Party making the payment:
Name:
Address
(including postcode):
Telephone:
Email:
Fax:
Note: If there are additional third parties, please attach a continuation sheet with the same information for the further third
parties.
(f) Circumstances when all or any part of the deposit may be retained by the Landlord: Refer to the following Clause(s) [please insert
relevant clause reference below] of the Tenancy Agreement:
I/We (being the Landlord) certify that –
(i) The information provided is accurate to the best of my/our knowledge and belief
(ii) I/We have given the Tenant(s) the opportunity to sign this document by way of confi rmation that the information is
accurate to the best of the Tenant(s) knowledge and belief
Landlord(s):
Signature(s):
Dated:
Tenant(s):
Signature(s):
Dated:
NOTES
(1) A copy of The Deposit Protection Service Insured Terms and Conditions must be attached to this document.
It is available to download from
https://www.depositprotection.com/insured-terms-and-conditions
(2) The tenant(s) and relevant persons (if any) agree that the lead tenant has been nominated by all the joint tenants and any
relevant persons and that the responsibilities of the lead tenant are fully understood by all tenants. The responsibilities are
detailed in Section 8 of the attached Terms and Conditions.
(3) It is the tenant’s or lead tenant’s (where relevant) responsibility to register their contact address with The DPS and to
ensure that address is updated at the end of the tenancy.
(4) The document is provided by The DPS by way of information only. The DPS accepts no liability for its contents. It is the
Landlord(s) responsibility to ensure it is completed accurately, served on the Tenant(s) within 30 days of receipt of the
deposit and to give the Tenant(s) an opportunity to check and sign this document.
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PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS*

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Completed 24 January 2022

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